Rene Franco-Elizondo, MD
Pulmonary Disease · Saint Clair Shores, MINPI 1225297559
Payments from drug & device makers
Across 80 payments — averaging $28.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jazz Pharmaceuticals Inc.$493
- GSK$380
- AstraZeneca$214
- Boehringer Ingelheim$173
- Inari Medical, Inc.$158
- Actelion Pharmaceuticals US, Inc.$148
- plus $705 from 17 others
What the payments were for
- Food & beverage$2,08192%
- Education$1908%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Jazz Pharmaceuticals Inc. | 12 | $493 |
| GSK | 22 | $380 |
| AstraZeneca | 11 | $214 |
| Boehringer Ingelheim | 7 | $173 |
| Inari Medical, Inc. | 2 | $158 |
| Actelion Pharmaceuticals US, Inc. | 2 | $148 |
| Sanofi | 2 | $139 |
| Inspire Medical Systems, Inc. | 1 | $120 |
| Boston Scientific | 1 | $94 |
| Grifols USA, LLC | 3 | $65 |
| Avadel CNS Pharmaceuticals, LLC | 2 | $43 |
| Resmed Corp | 2 | $35 |
| Electromed, Inc. | 2 | $28 |
| Insmed, Inc. | 2 | $28 |
| United Therapeutics Corporation | 1 | $24 |
| Viatris Specialty LLC | 1 | $20 |
| Harmony Biosciences LLC | 1 | $18 |
| Philips North America LLC | 1 | $17 |
| Mylan Specialty L.p. | 1 | $16 |
| Amgen | 1 | $16 |
| Verona Pharma, Inc. | 1 | $15 |
| Sunovion Pharmaceuticals Inc. | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$2,271 in reported general payments places this provider in the 50th percentile of 463 pulmonary disease providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 226 | $166,605 |
| Breo ElliptaFluticasone/Vilanterol | 73 | $36,997 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 28 | $19,794 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 74 | $16,330 |
| Spiriva RespimatTiotropium Bromide | 21 | $13,465 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 20 | $12,071 |
| Incruse ElliptaUmeclidinium Bromide | 14 | $9,507 |
| SymbicortBudesonide/Formoterol Fumarate | 22 | $7,223 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 23 | $4,141 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 61 | $2,132 |
| Ventolin HfaAlbuterol Sulfate | 25 | $1,880 |
| Fluticasone Propionate | 21 | $412 |
| Montelukast Sodium | 33 | $257 |
| Pantoprazole Sodium | 14 | $131 |
| Prednisone | 43 | $120 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta | $380 | $232,904341 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat | $173 | $25,53741 claims |
| AstraZenecaSymbicort | $214 | $7,22322 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 50th percentile of 463 pulmonary disease providers in Michigan.
Other pulmonary disease in Saint Clair Shores
- Njira LugogoAnn Arbor$12.9M
- Timothy BlackwellAnn Arbor$2.5M
- Kevin FlahertyAnn Arbor$2.3M
- Meilan HanAnn Arbor$1.8M
- Gary FergusonLivonia$1.5M
- Justin OldhamAnn Arbor$1.4M
- Robert PaineAnn Arbor$1.3M
- Irina ShanidzeFarmington Hills$1.2M
- Oscar Parodi Ortiz de VillateWarren$1.1M
- Yvonne HuangAnn Arbor$1.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.